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1326494576
TRACY HANSEN
PORTLAND, OR
NPI
1326494576
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: OR PG178431)
Enumeration Date
2016-05-06
Last Update Date
2019-07-02
Business Address
DR. TRACY HANSEN M.D.
4212 NE BROADWAY
PORTLAND, OR 97213
Phone number: 503-249-8787
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Mailing Address
DR. TRACY HANSEN M.D.
7823 N ALBINA AVE
PORTLAND, OR 97217-1111
Phone number: 541-207-6930
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